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,Acidosis - Nursing Intervention Ventilation - Use of Ambu Bag - Respiratory Arrest
MacKussmaul Acid-Base Imbalance Causing Metabolic Acidosis
Lung = Respiratory
Overventilation = Respiratory Alkalosis
Underventilation = Respiratory Acidosis
Metabolic Alkalosis - Risks Prolonged Gastric Vomiting
- Suction!!!
Metabolic Acidosis - Risks ALL Other Metabolic Problems
High Pressure Alarm - Causes - Obstruction
- Kink
- Water in tube
- Mucus in airway
High Pressure Alarm - Nursing Intervention - Unkink
- Empty Water Out of Tubing
- Turn Patient and/or Ask Them to Cough/Deep Breathe
- Suction
Low Pressure Alarm - Causes - Disconnection
- Disconnected 02 sensor
Tube Disconnection - Nursing Intervention - Reconnect Tube
- Bag Tube/Patient
- Call Respiratory Therapist
Comparison of Respiratory Alkalosis & Ventilation Overventilation
Comparison of Respiratory Acidosis & Ventilation Underventilation
Priorities Maslow 1) Physiological
2)Safety
3)Comfort
4)Psychological
5)Socialogical
6)Spiritual
#1 Problem in abuse Denial — wont accept reality of problem
Denial Treatment - Confront it
- Point out difference between what they say & do
Denial - From Loss Support the patient
, Grief stages 1) Denial
2) Anger
3) bargaining
4) depression
5)Acceptance
2nd biggest problem in abuse Dependancy/Codependancy
Dependency - Abuser gets significant other to do things for them
- Harmless
Codependency Significant other gains their self esteem from helping Dependent
Dependancy/Codependency Treatment - Set limits and enforce
- Work on self esteem
Manipulation Abuser gets significant other to do things for them that are harmful
Manipulation - Treatment Set limits and enforce
Wernickes/Korsakoffs - Target Audience Alcoholics
Wernickes - Signs & Symptoms - Psychosis from vitamin B1/thiamine deficiency (dementia due to brain damage)
- Amnesia with confabulation (making up stories that they wholeheartedly believe)
Wernickes - 3 Characteristics 1) Preventable (take Vitamin B1)
2) Arrestable (can stop it by taking Vitamin B & cutting down on drinking)
3) Irreversible - 70% (cannot fix dementia)
Antabuse/Revia (Disulfiram) Alcohol Deterrent & Antidote
- Makes drinking 'unpleasant' & causes sickness
Antabuse/Revia is also known as: Aversion Therapy
- Behavior therapy designed to make a patient give up an undesirable habit by
causing them to associate it with an unpleasant effect
Antabuse - Onset & Duration 2 weeks
Antabuse - Pt. Teaching Avoid ALL Alcoholic Products
- Not doing so will lead to n/v & possible death
Products Containing Alcohol - Mouthwash
- Cologne, Perfume, & Aftershave
- Most OTC Liquid Medicine
- Insect Repellant & Hand Sanitizer
- Vanilla Extract (can't have cupcakes w/ unbaked icing)
- ON NCLEX - Do Not choose Red Wine Vinaigrettes (it does not have alcohol in
it)